TestimonialI was a little worried about switching over to you, but after all you did for me during the claim I'm glad I did it! Thanks - Jason S.Montgomery, AL

Thanks Warren for helping us with our Home & Auto Ins. The extra $990/year you saved us will really help out!- Phillip V.Prattville, AL

Property Loss Claim Form

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

First Name

Required

Last Name

Required

Street

Required

City

Required

State

Required

ZIP / Postal Code

Required

Primary Phone Number

Required

Alternate Phone Number

Optional

E-Mail Address

Required

Policy Number

Required

Loss Overview

Loss Type

Required

What date did the incident take place?

Required

/

/

How severe was the damage?

Required

Describe the Loss

Required

Important NoticeAny
submissions or payments made via this website do not constitute a
binding agreement to your policy or coverages. Changes and
payments to policies are not effective or binding until you, or any
party involved, receive official notice from either your insurance agent,
or your insurance company. If you have any questions, please feel free to
contact us.